Susan K Eleeson Inc | |
47143 299th St Beresford SD 57004 | |
(605) 351-5826 | |
Not Available |
Full Name | Susan K Eleeson Inc |
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Speciality | Psychologist |
Location | 47143 299th St, Beresford, South Dakota |
Authorized Official Name and Position | Susan Kristine Eleeson (CEO/LICENSED PSYCHOLOGIST) |
Authorized Official Contact | 6053515826 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Susan K Eleeson Inc 47143 299th St. Beresford SD 57004 Ph: (605) 351-5826 | Susan K Eleeson Inc 47143 299th St Beresford SD 57004 Ph: (605) 351-5826 |
NPI Number | 1275903312 |
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Provider Enumeration Date | 10/01/2015 |
Last Update Date | 02/01/2024 |
Certification Date | 01/22/2024 |
Identifier | Type | State | Issuer |
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1275903312 | NPI | - | NPPES |
1568417657 | Medicaid | SD | |
S107742 | Other | SD | PTAN |
Taxonomy | Type | License (State) | Status |
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103T00000X | Psychologist | 399 (South Dakota) | Primary |